Really canceled the caregivers!
Hospitals in Fujian, Tianjin and other places launched the "unaccompanied system"
The hospital is solely responsible for nursing, and only a few dozen dollars a day are charged
Recently, the practices of some hospitals in Fujian and Tianjin have been praised by patients on the Internet, and their reputation has exploded! What happened?
On April 7, a patient's family member posted in today's headlines: "Today I want to praise the great Fujian! Dare to come up with policies and always think about the people! A few days ago, didn't everyone unanimously complain about the high fees and unprofessionalism of the nurses, and asked for the cancellation of the nurses? Two days ago, my father-in-law was hospitalized, and I found that many hospitals in Fujian had really canceled the nurses! The old father-in-law needed to be cared for, but the hospital did not let us spend money on nurses throughout the whole process, and it was all nurses and nurses who were doing these things. Compared with more than 300 yuan of nurses, the hospital only charges dozens of yuan a day for nursing fees, which is really cheap, even if it is a patient who is completely paralyzed and can not take care of himself, the hospital charges only about 100 yuan! ”
Subsequently, on April 16, a netizen in Tianjin also posted: "The hospital in Tianjin has made a good start this time, canceling the nurse and implementing the unaccompanied system, and the nursing fee is only 60 yuan a day." Many patients who are paralyzed in bed know that the salary of a nurse is at least 300 yuan a day. Some hospitals in Tianjin are now unified escorts, and the hospitals only charge 60 yuan for escorts. In the future, if it involves hospitalization, you can choose Tianjin, I can't help but praise Tianjin's bold reform and innovative spirit, and suggest that it be promoted in hospitals across the country. ”
"Patients stay in the hospital for as little as a few days or as long as dozens of days. At the current cost of 300 per day, it is a large expense, sometimes even exceeding the cost of hospitalization, which can be said to be a big burden on patients. The nursing staff was canceled, and the hospital unified the escort, charging only 60 yuan per day, and it was only 1,800 yuan a month, which was equivalent to saving 7,200 yuan. In addition, this has another advantage, that is, it improves the patient's inpatient environment, in the past, there were 3 patients in a ward, plus 3 accompanying family members, a total of 6 people, the ward was messy, which was not conducive to the patient's rest. Now that the unaccompanied care system is in place, the wards are much quieter, and patients can rest well. ”
As can be seen from the above patients' praises, the hospital did not ask for a nurse during their hospitalization, but took on all the nursing work themselves. You must know that a month ago, "the patient spent thousands of dollars extra to hire a nurse" is still hotly fermenting and discussing, and in the blink of an eye, some provinces have launched new policies in a timely manner for social hot issues, which must indeed be praised.
The "unaccompanied system" is being carried out enthusiastically in some provinces and cities
The hospital offers 24-hour professional care
The fees are lower
At present, Fujian, Shandong, Henan, Tianjin and other places are launching the "unaccompanied system" is very enthusiastic, so what does it mean?
Let's start with Fujian, which is a key province that many patients focus on.
Back at the end of July 2022, the Fujian Provincial Health Commission organized experts to conduct a discussion, and jointly formulated and issued a notice on the "Fujian Provincial "Unaccompanied" Ward Service Specification" with the four departments, requiring the gradual implementation of the pilot work of "unaccompanied" wards in the province's tertiary public hospitals.
At this time, the waves are not very big, although the hospitals in Fujian responded positively, but the pace is very slow, and the actual progress is far from the desired pilot effect, but from the feedback of patients, this system has indeed played a huge role, and patient satisfaction is extremely high.
Subsequently, in December 2023, the Fujian Provincial Health Commission, the Department of Human Resources and Social Security, the Finance Bureau, and the Medical Insurance Bureau once again issued the "Notice on Further Promoting the Pilot Work of "Unaccompanied" Wards in Hospitals, proposing that from January 2024, the pilot scope of "unaccompanied" wards will be gradually expanded to all tertiary hospitals in the province and extended to secondary public hospitals.
After the document was issued, that is, from March this year, the "unaccompanied system" began to be vigorously launched in Fujian Province on a large scale!
Sanming, Zhangzhou, Quanzhou, Longyan and other places said that starting this year, all tertiary and secondary public hospitals in the city will implement the unaccompanied system, so that patients can benefit as soon as possible.
The so-called "unaccompanied" does not mean that there is no escort, but that after the elimination of nursing staff, professionally trained medical nurses provide 24-hour continuous daily care and other services for inpatients. Under the guidance and management of nurses, nursing staff provide relevant escort and life care services in a "one-to-many" mode according to the patient's condition and needs, and assist nurses in health education and patient safety protection.
According to the regulations of the National Health Commission, medical nurses should be uniformly hired by the hospital (or through labor dispatch) and managed in a unified manner; hospitals should set up a nursing staff management organization to be responsible for the daily affairs management of nursing staff; hospitals should allocate nursing staff reasonably according to the types of diseases and patients admitted to the pilot wards, and set up two or three shifts, and be on duty continuously 24 hours a day, with "one-to-many" The hospital provides bedside ordering or online convenient ordering and unified meal delivery services, the hospital adopts electronic access control or special personnel management to strengthen the management of inpatient ward visits and accompanying personnel, and the hospital is equipped with a special escort team to provide escort services for inpatients.
This system really excites the patients, because after the abolition of nurses, the care that the hospital is responsible for is too detailed and comprehensive!
The National Health Commission emphasized that the "unaccompanied care" service follows the principle of patient-centeredness and provides comprehensive, full-process, continuous and safe life care services during hospitalization.
Let's take a look at the services that the hospital provides during the patient's hospitalization:
(1) Based on the patient's condition and ability to take care of themselves, correctly carry out life care, and keep the patient clean and comfortable.
1. Do a good job of tidying up the bed unit to keep the patient clean and comfortable. 1 morning care per day, making the bed unit, complete/assist in combing hair, oral cleaning, facial cleaning and changing clothes; change bed units at least 1-2 times a week; 1 evening care per day in making bed units, complete/assist/instruct patients to comb their hair, oral hygiene, facial cleaning, perineal cleaning and foot cleaning; complete/assist/instruct patients to take warm water scrubs, wash their hair once and complete or assist in cutting their nails at least 2-3 times a week.
2. Take good care of food, water, and medicine. Complete/assist/instruct patients to eat, drink, and take medication care every day. Feed if necessary, observe and evaluate food intake and water intake, and assist in making records.
3. Take good care of the patient's skin. Assist patients to move in and out of bed, assist patients to turn over, pat their backs and cough effectively according to their condition, and assist nurses to do a good job in skin pressure ulcer prevention and nursing.
4. Do a good job in the daily care of patients. Patients with indwelling catheterization underwent urethral opening cleaning 2 times/day. Cleaning patients with incontinence or assisting in the use of a toilet in bed to keep the perineum clean. Assist the elderly and frail, immobility, unstable conditions and postoperative patients to use the toilet. If necessary, change diapers and diapers for patients, dump excreta and assist in collecting specimens, and observe and record the character, color, amount and frequency of excrement to inform the nurse in time.
5. Do a good job of sleep care for patients. Arrange the noon and night sleeping environment, observe the patient's sleep situation, strengthen the patrol, and inform the nurse in time.
6. Under the guidance of nurses, pay attention to the identification of early symptoms of the disease, infusion care, and notify the nurses in time if any abnormalities are found.
(2) Assist in the rehabilitation and nursing of patients who are bedridden for a long time, complete limb function exercises twice a day, and maintain a comfortable position.
(3) Assist patients with reduced mobility to get out of bed, and assist rehabilitation therapists or nurses to carry out early rehabilitation functional exercises for patients twice a day.
(4) Do a good job of psychological comfort for patients, accompany patients and communicate effectively with patients and their families.
(5) Assist or accompany the patient for auxiliary examinations when necessary.
Seeing these meticulous cares, it's no wonder that patients exclaim, as doctors, these meticulous cares are no less than a caring nanny!
Do you think that the hospital will be very expensive in order to provide such thoughtful and meticulous service?
Taking Shaowu General Hospital in Nanping, Fujian Province as an example, according to the current regulations of Shaowu City, the cost of unaccompanied wards is divided into three levels according to the patient's ability to take care of himself: 85 yuan, 135 yuan, and 195 yuan. This fee has been included in the scope of medical insurance payment as a whole, and patients only need to bear the out-of-pocket part after medical insurance reimbursement.
What's even more gratifying is that the additional first, second, and tertiary nursing fees that need to be paid in the general ward, such as urinary catheter nursing, sputum suction, arteriovenous catheter nursing, general special nursing fees, and mechanically assisted expectoration in the general ward, are no longer charged separately in the unaccompanied ward.
Even if the patient is paralyzed and has no ability to take care of himself, he only charges 195 yuan, which is really quite cost-effective compared with the expensive nurses.
Netizens called on their provinces to also implement "unaccompanied" wards as soon as possible
Some people want to be admitted to a hospital to care for the elderly
With the widespread popularity of Fujian Province, the "unaccompanied care system" has become more and more popular in the past two days, and many netizens are also calling for their provinces to carry out unaccompanied wards, which has become a key topic of discussion among the people.
One of the most worrying questions for netizens is "The medical nurses recruited by the hospital are all middle-aged aunts, can they reach the professional level of nurses?"
In fact, there is no need to worry about this, in this model, there are clear service standards for all life care services, and the work performed by medical nurses is carried out under the guidance of nurses. Moreover, the pilot provinces and cities should implement the construction of a training mechanism for medical nurses, and emphasize that medical nurses, as members of the hospital service team, must be managed in a unified manner, and the industry's personnel qualification management and service management mechanisms are clearly defined.
In order to standardize the work of nursing staff and improve the ability of professional care, the nursing department must conduct pre-job training for nursing staff in "unaccompanied" wards, including "Management System for Nursing Assistants in Unaccompanied Wards", "Nursing Assistants in Unaccompanied Wards to Cope with Risks and Prevention", "Nursing Staff's Necessary Knowledge of Hospital Infection", and common skills training such as axis turning method, back patting and expectoration method, wheelchair handling method, flat car handling method, use of walker and washing hair on bed.
More importantly, medical nurses are strictly the regular employees of the hospital, and they are an integral part of the hospital.
From the above points, this is completely different from the caregiver, and it is by no means a copy of the caregiver.
After this policy became popular, a nearly 30-year-old netizen in Shanghai asked another question, she said: "I have always had a good impression of the unaccompanied care system, I am an unmarried, I am wondering, when I am old, can I be admitted to the hospital to enjoy this kind of unaccompanied ward? I see that the nursing staff service is very thoughtful, no less than a nanny, which provides me with a new idea, when I am old, I don't need to go to the nursing home, I can live directly in the hospital." I am very eager for the hospital to have this business, there are many people who will not get married in the future, and after being admitted to the hospital, the birth, old age, sickness and death will be solved in one turn, isn't this more fragrant than the nursing home?"
This is really new, what do you think about this question raised by netizens?
Source | Metz Medicine